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← Return to My PSA climbed 02, .04, .07 .15 .21 had a RP 2 yrs ago PSMA negative ?
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My PSA climbed 02, .04, .07 .15 .21 had a RP 2 yrs ago PSMA negative ?
Prostate Cancer | Last Active: Feb 24 9:59am | Replies (45)Comment receiving replies
@surftohealth88 I was under the impression that if you radiate the prostate bed and there is cancer some place else that you would know from a psa test. He also says that salvage surgery after radiation is safe, which was also new to me.
Replies to "@surftohealth88 I was under the impression that if you radiate the prostate bed and there is..."
@topf
About 40% of the prostate is left after radiation.. Not all doctors will do the salvage surgery, but there are some that specialize in it.
@topf 30% of SRT fails if ONLY the prostate bed is treated. You MUST treat the pelvic lymph nodes as well.
I received 6000gys to the bed and 4500gys to the nodes…and still🤞
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@topf
"Safe" maybe but mostly impossible and extremely rarely done. Also, if you have RP after RT permanent incontinence and ED are almost guaranteed.
I personally stick with well known and accepted studies and do not rely my decisions on "exotic" protocols. It is enough discord in "standard" of care to begin with : /
Salvage radiation is done with CURATIVE intent when it is done in pelvic area. If patient indeed had BCR in that area than it can provide cure and/or long lasting remission.
I do not think that just because micro mets are perhaps in a spine for some patients that 1/3 of patients who DO have cancer in pelvic area should risk NOT having possible cure (???? ) and/or 10 year remission ! Those that have mets in other areas can not have "curative" salvage since cancer spread throughout the body.
If PSA continues to rise than it is somewhere else but person at least tried. One third is not small % ! Many medication research trails would be happy to have 33% better results than placebo group ! They need to be better by 10-20% than placebo.